Organization
PREMIER COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA COLLIN LCSW (EXECUTIVE DIRECTOR)
(225) 933-0142
Entity
Organization
Contact information
Practice address
3414 MOSS ST, SUITE C, LAFAYETTE, LA 70507-6107
(337) 269-8915
(337) 269-8992
Mailing address
3414 MOSS ST, SUITE C, LAFAYETTE, LA 70507-6107
(337) 269-8915
(337) 269-8992
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15118
LA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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